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NPI Code Detail

MEDICARE: DR. JAMES LLOYD ROESSLER M.D.

MEDICARE: DR. JAMES LLOYD ROESSLER M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistD20488MD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2010038097OTHERMDMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10100073OTHERMDUNITED HEALTHCARE #
34141245OTHERMDAETNA #
4814439OTHERMDMDIPA #
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
641996801OTHERMDBCBS MD #
7521189978OTHERMDCIGNA #
8H9310003OTHERMDBCBS NCA #

General Provider Information

NPI Number : 1801891866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES LLOYD ROESSLER M.D.
Provider Business Mailing Address
First Line : PO BOX 20
Second Line :
City : MIDDLETOWN
State : MD
Zip : 21769-0020
Country : US
Telephone Number : 301-371-9000
Fax Number : 301-371-8905
Provider Business Practice Location Address
First Line : 300 S CHURCH ST
Second Line :
City : MIDDLETOWN
State : MD
Zip : 21769-8043
Country : US
Telephone Number : 301-371-9000
Fax Number : 301-371-8905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 09/17/2009

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